64排颅脑CT血管造影对脑出血患者病灶的诊断价值分析  

Analysis of Diagnostic Value of 64-row Craniocerebral CT Angiography on Focuses of Patients with Cerebral Hemorrhage

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作  者:叶俊峰 侯双平 李强 YE Junfeng;HOU Shuangping;LI Qiang(Department of Radiology,Yidu Hospital of Traditional Chinese Medicine,Yidu,Hubei Province,443300 China)

机构地区:[1]湖北省宜都市中医医院放射科,湖北宜都443300

出  处:《世界复合医学》2023年第7期77-80,共4页World Journal of Complex Medicine

摘  要:目的探讨与分析64排颅脑CT血管造影对脑出血患者病灶的诊断价值。方法选取2019年9月—2022年11月在湖北省宜都市中医医院诊治的120例疑似自发性脑出血患者为研究对象,所有患者都给予64排颅脑CT血管造影检查与数字减影血管造影检查,以数字减影血管造影检查为金标准,判定诊断的价值。结果在120例患者中,数字减影血管造影诊断为脑出血68例,64排颅脑CT血管造影诊断为脑出血66例,64排颅脑CT血管造影对脑出血患者的诊断敏感性、特异性、准确性分别为95.59%(65/68)、98.08%(51/52)、96.67%(116/120)。64排颅脑CT血管造影检查对高血压性脑出血、烟雾病、血管畸形、脑动脉瘤病灶的诊断准确率分别为97.22%、87.50%、83.33%、100%。64排颅脑CT血管造影对于不同狭窄程度的诊断符合率分别为94.29%、100%、100%、100%。结论64排颅脑CT血管造影检查对脑出血患者病灶的诊断价值比较高,可有效判定颅内动脉的狭窄情况。Objective To explore and analyze the diagnostic value of 64-row craniocerebral CT angiography on focuses in patients with cerebral hemorrhage.Methods A total of 120 patients with suspected spontaneous cerebral hemorrhage were collected and treated in Yidu Hospital of Traditional Chinese Medicine,Hubei Province from September 2019 to November 2022.All patients were given 64 rows of craniocerebral CT angiography and digital subtraction angiography.Digital subtraction angiography was used as the gold standard to determine the diagnostic value.Results Among the 120 patients,68 cases were diagnosed with cerebral hemorrhage by digital subtraction angiography and 66 cases were diagnosed with 64-row cerebral CT angiography.The sensitivity,specificity and accuracy of 64-row CT angiography in the diagnosis of cerebral hemorrhage were 95.59%(65/68),98.08%(51/52)and 96.67%(116/120),respectively.The accuracy of 64-row cerebral CT angiography in the diagnosis of hypertensive cerebral hemorrhage,moyamoya disease,vascular malformation and cerebral aneurysm were 97.22%,87.50%,83.33%and 100%,respectively.The diagnostic coincidence rates of 64-row CT angiography were 94.29%,100%,100%,100%,respectively.Conclusion 64-row craniocerebral CT angiography is of high diagnostic value in patients with cerebral hemorrhage,and can effectively determine the stenosis of intracranial arteries.

关 键 词:64排颅脑CT血管造影 数字减影血管造影 脑出血 病灶定位 颅内动脉狭窄 

分 类 号:R743.35[医药卫生—神经病学与精神病学]

 

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